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FORM 5
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| OMB APPROVAL |
[X] Check box if no longer subject _________________________________
to Section 16. Form 4 or Form 5 | OMB Number: 3235-0362 |
obligations may continue. See | Expires: January 31, 2005 |
Instruction 1(b). | Estimated average burden |
| hours per response....... 1.0 |
[ ] Form 3 Holdings Reported _________________________________
[ ] Form 4 Transactions Reported
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
Section 17(a) of the Public Utility Holding Company Act of 1935 or
Section 30(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
DIXON ROBERT B.
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(Last) (First) (Middle)
39 SOUTH MAIN STREET
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(Street)
ESSEX, CT 06426
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
NATIONAL AUTO CREDIT, INC. (NAKD)
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3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary)
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4. Statement for Month/Year
01/02
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
[ ] Director [ ] 10% Owner
[ ] Officer (give title below) [X] Other (specify below)
FORMERLY CHIEF FINANCIAL OFFICER
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7. Individual or Joint/Group Filing (check applicable line)
[X] Form Filed by One Reporting Person
[ ] Form Filed by More than One Reporting Person
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TABLE I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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5. Amount of
Securities 6. Owner-
Beneficially ship
2. Trans- 4. Securities Acquired (A) Owned at Form:
action or Disposed of (D) the end of Direct 7. Nature of
Date 3. Trans- (Instr. 3, 4 and 5) Issuer's (D) or Indirect
1. Title of Security (Month/ action -------------------------- Fiscal Year Indirect Beneficial
(Instr. 3) Day/ Code Amount (A) or Price (Instr. (I) Ownership
Year) (Instr. 8) (D) 3 and 4) (Instr. 4) (Instr. 4)
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NONE
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* If the form is filed by more than one reporting person, see instruction 4(b)(v).
TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(E.G. PUTS CALLS WARRANTS OPTIONS, CONVERTIBLE SECURITIES)
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1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.
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Title and
Number of Date Exer- Amount of Ownership
Derivative cisable and Underlying Number of of Deriv-
Securities Expiration Securities Price Derivative ative
Conver- Acquired (A) Date (Month/ (Instr. 3 of Securities Security:
sion or Trans- or Disposed Day/Year) and 4) Deriv- Benefi- Direct
Exercise action Trans- of (D) -------------- -------------- ative cially (D) or Nature of
Title of Price of Date action (Instr. 3, Date Amount Secur- Owned at Indirect Indirect
Derivative Deriv- (Month/ Code 4 and 5) Exer- Expir- or Num- ity End of (I) Beneficial
Security ative Day/ (Instr. ---------- cis- ation ber of (Instr. Year (Instr. Ownership
(Instr. 3) Security Year) 8) (A) (D) able Date Title Shares 5) (Instr. 4) 4) (Instr. 4)
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NONE
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Explanation of Responses:
FORM 5 IS BEING FILED TO REPORT TERMINATION OF REPORTING PERSON'S RELATIONSHIP
WITH THE ISSUER
/s/ Robert B. Dixon March 18, 2002
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** Signature of Reporting Person Date
** Intentional misstatements or omissions of facts constitute Federal Criminal
Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed.
If space provided is insufficient, see Instruction 6 for procedure.